Coding Specialist
New Season
full-time
Posted on:
Location Type: Hybrid
Location: Fort Myers • Florida • United States
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About the role
- Responsible for the accurate and efficient coding of FHC medical records in compliance with all legal regulations and accepted standards.
- The Coder reviews charts as assigned by the Coding Supervisor, scans them for errors and omissions, makes edits as necessary, and submits them for processing.
- Review accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
- Audits clinical documentation and coded data to validate documentation supports diagnoses, procedures and all services rendered for reimbursement and reporting purposes.
- Identifies diagnostic and procedural information and reviews physician pending charges for appropriate complexity using CPT coding guidelines.
- Assigns codes for reimbursements and compliance with regulatory requirements utilizing guidelines and following up to date coding conventions.
- Works closely with the Coding Supervisor to provide feedback to providers to improve documentation practices.
- Confirm patient demographic, insurance and referring physician information is accurately entered in Intergy.
- Enter all codes, CPT, HCPCS and ICD-10 coding and modifiers in Intergy timely and accurately.
- Follow established checks and balances systems to ensure complete and accurate code capture.
- Review Medicare Local Coverage Determinations (LCDs) and Medicare bulletin updates and Medicare NCCI.
- Serves as coding consultant to providers.
- Keeps abreast of compliance regulations, standards, and directives regarding governmental/regulatory agencies and third-party payers.
- Keeps abreast of standard coding guidelines (including Medicare, Medicaid, Managed Care, HEDIS, and FQHC guidelines).
- Provides updates and status reports to management weekly.
- Other duties as assigned.
Requirements
- Demonstrated knowledge of Medicaid, Medicare, and Commercial Insurance rules and procedures in a managed care plan environment
- Medical terminology, CPT, HCPCS and ICD-10 coding and modifier usage required
- Understanding of FQHC billing procedures and Sliding Fee Schedules a plus
- Understand and adhere to all HIPAA guidelines
- Medical Coding & Billing course completion preferred
- 2 years Medical Coding experience preferred
- Certified Professional Coder (CPC) Certification preferred
- Minimum 1-year employment in healthcare related field
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
CPT codingHCPCS codingICD-10 codingmedical codingmedical billingcoding conventionscoding guidelinesabstractingauditingerror detection
Soft Skills
attention to detailcommunicationfeedback provisionorganizational skillsproblem-solving
Certifications
Certified Professional Coder (CPC)Medical Coding & Billing course completion